Individual provider Active NPI

Susan Diaz-Giraldo, AGACNP-BC, MS, RN

  • Acute Care Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1245900513
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
432154 Issued in NY
Practice address
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Phone
(718) 430-7300
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 432154 NY Primary

Addresses

Primary practice location

2475 Saint Raymonds Ave
Bronx, NY 10461-3124

Mailing address

1122 Ava Rd
North Merrick, NY 11566-1302
Phone (347) 394-6287

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdg401@nyu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1245900513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 AVA RD",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661302",
            "telephone_number": "347-394-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 SAINT RAYMONDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613124",
            "telephone_number": "718-430-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GIRALDO",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC, MS, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "432154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdg401@nyu.edu",
            "affiliation": "N",
            "address_1": "2475 Saint Raymonds Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.